Provider Demographics
NPI:1548532013
Name:SALBEGO, BERRIE (DVM)
Entity type:Individual
Prefix:DR
First Name:BERRIE
Middle Name:
Last Name:SALBEGO
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:DR
Other - First Name:BERIT
Other - Middle Name:R
Other - Last Name:UPTON SALBEGO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DVM
Mailing Address - Street 1:220 MIDDAUGH RD
Mailing Address - Street 2:
Mailing Address - City:CLARENDON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60514-1004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:220 N HAMMES AVE
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-6612
Practice Address - Country:US
Practice Address - Phone:815-729-0770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-31
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL090.007583174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian